Investigative Magnetic Resonance Imaging

  • 제18권4호
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  • Pages.362-365
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  • 2014
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  • 2384-1095(pISSN)
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  • 2384-1109(eISSN)
대한자기공명의과학회 (Korean Society of Magnetic Resonance in Medicine)
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국소 뇌경색에 의한 요골측 손가락 마비

Isolated Weakness of Radial-side Fingers Due to a Small Cortical Infarction

  • 황경진 (경희대학교 의과대학 신경과학교실) ;
  • 박기정 (경희대학교 의과대학 신경과학교실) ;
  • 장대일 (경희대학교 의과대학 신경과학교실) ;
  • 윤성상 (경희대학교 의과대학 신경과학교실)
  • Hwang, Kyoung Jin (Department of Neurology, School of Medicine, Kyung Hee University) ;
  • Park, Key-Chung (Department of Neurology, School of Medicine, Kyung Hee University) ;
  • Chang, Dae-Il (Department of Neurology, School of Medicine, Kyung Hee University) ;
  • Yoon, Sung Sang (Department of Neurology, School of Medicine, Kyung Hee University)
  • 투고 : 2014.10.16
  • 심사 : 2014.12.02
  • 발행 : 2014.12.31
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초록

중추 신경계 병터에 의해 손가락의 일부에만 위약감이 발생하는 것을 거짓 말초 마비라고 한다. 두 명의 환자가 뇌의 국소 병터에 의해 요측에 국한된 특정 손가락의 위약감을 가지고 내원하였다. 51세 여자 환자는 갑자기 발생한 왼쪽 검지와 중지의 위약감으로 내원하였으며, 뇌 자기공명영상검사에서 오른쪽 중심앞이랑에 뇌경색이 관찰되었다. 67세 남자환자는 갑자기 오른쪽 엄지와 검지로 위약감이 발생하였으며, 뇌 자기공명영상검사에서 왼쪽 중심앞이랑에 뇌경색이 관찰되었다.

Predominant involvement of a particular group of fingers due to a central nervous system lesion has been described as pseudoperipheral palsy. Two patients visited our hospital with isolated weakness of a particular group of fingers due to small cortical infarctions. A 51-year-old woman suddenly developed weakness in her left index and middle fingers. The brain MRI showed a small infarct in the right frontal cortex. A 67-year-old man was sudden difficulty using his chopsticks and had weakness in his right thumb and index finger. The brain MRI showed a small infarct in the left precentral cortex.

키워드

참고문헌

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